Akademik Veri Yönetim Sistemi
ERCIYES MEDICAL JOURNAL, cilt.31, sa.1, ss.49-52, 2009 (ESCI)
Purpose: Pediatric urinary stone disease can be safely managed with percutaneous nephrolithotomy (PNL) in case of stones not suitable for shock wave lithotripsy (SWL). We present our experience with PNL performed in pediatric patient group. Patients and Method: We performed PNL on 19 renal units of 18 children between March 20050-September 2007 with a mean age of 11.3 (5-17). The mean stone burden was calculated as 401.3 mm(150-1000 Percutaneous access was performed under fluoroscopy, tract dilatation was done using Arnplatz dilators between 20F and 30F depending on patient age and size. Supracostal access was used in three patients and none of the patients had any complications. Laser and pneumatic lithotripsy were used to fragment renal calculi. Results: Mean operating time was 87.6 minutes (range 30 to 210 min). Stone free rate was calculated as 78.9%. Overall success rate is 100% with clinically insignificant residues. Blood transfusion was not required. One patient had a febrile episode, without signs and symptoms of bactercmia. The average postoperative hospitalization was 3.4 days (range 2 to 8). Conclusion: PNL is a safe and effective method in pediatric patient group in presence of SWL intant stones and can be safely done with the same instruments being used in adult patients.